STEPHEN THOMAS JAGIELO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000259

License Status

NOT RENEWED

Business

First Name

STEPHEN THOMAS

Last Name

JAGIELO

Suffix

DDS

Business Name

STEPHEN THOMAS JAGIELO DDS

Original Issue Date

06/26/1990

Effective Date

06/26/1990

Expiration Date

09/30/1992

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005